March 2020 – Updates to Payment v. Coverage: barriers to Medicare-Covered Care & Other Issues

March 17, 2020

Updates on Payment v. Coverage – Access to Care Threats (Dara Valanejad)
- Home Health and Skilled Nursing Facilities
  - Medicare Learning Network article re: Home Health (Feb. 10, 2020): https://www.cms.gov/files/document/se20005.pdf
  - CMA Issue Brief: https://www.medicareadvocacy.org/wp-content/uploads/2020/03/Issue-Brief.-Medicare-Payment-vs.-Coverage.pdf

CMS Documents: Advance Notice and Proposed Rule re: Parts C & D (David Lipschutz and Kata Kertesz)
- Advance Notice for Medicare Advantage and Part D plans
  - Most policy proposals deferred to proposed rule
- Proposed Rule re: Parts C & D
  - Comments due 4/6

Updates on Plan Finder, Medicare Advantage (David Lipschutz)
- Medicare Plan Finder updates
  - Stakeholder meeting
  - Availability of Special Enrollment Period (SEP)
- Medicare Advantage
  - Revised CBO projections, media stories

Litigation Update (Alice Bers)
- ACA Litigation update
- Update on Alexander v. Azar trial re appeal rights for observation patients

2020 National Voices of Medicare Summit & Sen. Rockefeller Lecture – Whither Medicare: From Promise to Privatization (Judy Stein)
- April 30, 2020 – Washington, DC
- Register: https://www.medicareadvocacy.org/summit/

General Medicare Q&A (David Lipschutz)

Wrap-up (Moderator)

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The report “found a heavy reliance on celebrity endorsers, liberal use of what appear to be official hotlines and images of government-issued Medicare cards, and suggestions that seniors who do not sign up for a plan could miss out on benefits to which they are entitled.”

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